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Medical ArticlesNourishmentNothing is more required in healing than properly to nourish t... Want Of Water One of the obstacles is the _want of a sufficient quantity of... The Triviality Of Trivialities LIFE is clearer, happier, and easier for us as things assume ... Jaundice This disease, or its approach, may be known by several signs: ... Lather How To Make One of the most powerful soothing influences which can be had,... Haemorrhage See Bleeding; Wounds. ... Hydrocele See Dropsy. ... Self-consciousness SELF-CONSCIOUSNESS may be truly defined as a person's... Treatment The present 100 per cent mortality in cancer of the esophagu... The Fulcrum Of The Bronchoscopic Lever Is At The Upper Thoracic Aperture Disregard of this rule will cause subglottic edema and will ... Paroxysm Drugs The part the nervous system plays in this paroxysm is shown b... How To Be Ill And Get Well ILLNESS seems to be one of the hardest things to happ... Foreign Bodies In The Insane Foreign bodies may be introduced voluntarily and in great nu... Consumption Treatment Of Turning now to the case when consumption has actually shown it... The Surgical Dissection Of The Popliteal Space And The Posterior Crural Region On comparing the bend of the knee with the bend of the elbow,... Ice-water And Snow-bath In Malignant Cases If no rash appear during the first pack, which will scarcely ... To Prevent Scarlet Fever Give Belladonna at the 3d attenuation, three to six pellets, ... Calendula is applied to wounds, _incised_ and _lacerated_, promoting he... Treatment In this rapid high tension age the physician should be as ene... The Coal Foods Kinds of Coal Foods. There are many different kinds of Coal... |
Roentgenray Study In Foreign Body CasesCategory: FOREIGN BODIES IN THE AIR AND FOOD PASSAGES Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery Roentgenography.--All cases of chest disease should have the benefit of a roentgenologic study to exclude bronchial foreign body as an etiological factor. Negative opinions should never be based upon any plates except the best that the wonderful modern development of the art and science of roentgenology can produce. In doubtful cases, the negative opinion should not be conclusive until a roentgenologist of long experience in chest work, and especially in foreign body cases, has been called in consultation. Even then there will be an occasional case calling for diagnostic bronchoscopy. Antero-posterior and lateral roentgenograms should always be made. In an antero-posterior film a flat foreign body lying in the lateral body plane might be invisible in the shadow of the spine, heart, and great vessels; but would be revealed in the lateral view because of the greater edgewise density of the intruder and the absence of other confusing shadows. Fluoroscopic examination will often discover the best angle from which to make a plate; but foreign bodies casting a very faint shadow on a plate may be totally invisible on the fluoroscopic screen. The value of a roentgenogram after the removal of a foreign body cannot be too strongly emphasized. It is evidence of removal and will exclude the presence of a second intruder which might have been overlooked in the first study. Fluoroscopic study of the swallowing function with barium mixture, or a barium-filled capsule, will give the location of a nonroentgenopaque object (such as bone, meat, etc.) in the esophagus. If a flat or disc-shaped object located in the cervical region is seen to be lying in the lateral body plane, it will be found to be in the esophagus, for it assumed that position by passing down flatwise behind the larynx. If, however, the object is seen to be in the sagittal plane it must lie in the trachea. This position was necessary for it to pass through the glottic chink, and can be maintained because of the yielding of the posterior membranous wall of the trachea. Next: The Roentgenographic Signs Of Expiratory-valve-like Bronchial Obstruction Previous: Physical Signs Of Bronchial Foreign Body
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